Kelly Moletress, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT020951 Issued in PA

Practice address

1570 Egypt Rd Ste 120
Phoenixville, PA 19460-1179

Phone

(610) 676-0411

Fax

(610) 676-0412

NPI assigned

Jun 13, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aquasport Physical Therapy, P.C.

  • Physical Therapist
  • Phoenixville, PA
  • NPI 1154454296
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1477848950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 EGYPT RD STE 120",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194601179",
            "telephone_number": "610-676-0411",
            "fax_number": "610-676-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 EGYPT RD STE 120",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194601179",
            "telephone_number": "610-676-0411",
            "fax_number": "610-676-0412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Pothouse Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenixville",
            "state": "PA",
            "postal_code": "194604746",
            "country_code": "US",
            "telephone_number": "610-933-2037",
            "fax_number": "610-933-2038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLETRESS",
        "first_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-13",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "DAPT002801",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT020951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therese Mitchell
• MJ6 Enterprises PC
• Yoon Suh Moh, PH.D., LPC, BCN
• Maheen S Mohammad, DO
• Anne Muthoni Mokonyama, CRNP
• Annika Moline, RN, CNL
• Hannah Molk, DO
• Monarch Integrative Medicine, LLC
• Monarch Medical, LLC
• A David Monheit, M.D.

• All providers in Phoenixville, PA
• Orthopedic Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.